Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR WND PREP PED, FACE/NCK/HND/FT/GEN 1ST 100 CM
Quitman, MS
See all hospitals reporting CPT 15004 →Price type
Rush Medical Foundation’s median price of $462 is 36% below the median hospital's median price ($724), higher than 21% of the 2,105 hospitals reporting CPT 15004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana all payor fee schedule · outpatient | $214 | $214 | $22 | 10% | — | $192 – $235 |
| 2 | UnitedHealthcare all payor case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 3 | Cigna Healthspring all payor fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 4 | Optum all payor fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 5 | WellCare all payor fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 6 | Molina all payor fee schedule · outpatient | $238 | $273 | $97 | 35% | — | $212 – $465 |
| 7 | Ambetter all payor fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 8 | MultiPlan all payor fee schedule · outpatient | $406 | $406 | — | — | — | $406 – $406 |
| 9 | Cigna all payor fee schedule · outpatient | $438 | $438 | — | — | — | $438 – $438 |
| 10 | Aetna all payor fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $678 | $530 | $208 | 39% | — | $235 – $678 |
| 12 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $539 | $539 | — | — | — | $539 – $539 |
| 13 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 14 | Cigna Healthspring all payor other · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 15 | Humana all payor other · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 16 | Optum all payor other · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 17 | UnitedHealthcare all payor other · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 18 | Bcbs Ms all payor fee schedule · outpatient | $623 | $670 | $265 | 40% | — | $462 – $1.2k |
| 19 | Ambetter all payor other · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 20 | Molina all payor other · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 21 | WellCare all payor other · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 22 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $749 | $749 | — | — | — | $749 – $749 |
| 23 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $864 | $864 | — | — | — | $864 – $864 |
| 24 | Bcbs Ms all payor other · outpatient | $921 | $921 | — | — | — | $921 – $921 |
Last updated: Apr 1, 2026
See Wound preparation on face, neck, hands, feet or genitals pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.